2019 IndigenEYEZ Leadership Training Camp - Hedley, July 14-21
The goal of the IndigenEYEZ Leadership Training Camp is to support our emerging leaders, ages 15 to 30, to become healthy & impactful change makers, activists and ambassadors for our land, culture, language, and people to be.

Our camps provide a learning experience that brings creativity and the arts together with culture and on-the-land activities. Our facilitators are trained to create a safe and welcoming space for all participants. Building a strong sense of community is central to our program - participants leave with new friends and mentors who can support them as they grow in their environmental leadership, and cultural & community building work.

Camp Application Details
First and Last Name of Participant *
Your answer
Gender Preference/Preferred Pronouns *
Participant's Email Address *
Your answer
Parent/Guardian Permission *
Required
Parent/Guardian Name & Email *
Your answer
Home Phone and/or Cell Phone *
Your answer
Address *
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City and Province/State *
Your answer
Country *
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Band/Nation:
Your answer
Date of Birth of Participant *
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YYYY
Emergency Contact and Medical Information
We have first-aid trained staff as well as a lifeguard on site at camp, and emergency services available to us. Should anything happen during camp we will be in contact with the emergency contact person right away.
Emergency Contact Name *
Your answer
Relationship To Participant *
Your answer
Emergency Contact Telephone Number *
Your answer
BC Care Card number (if applicable)
Your answer
Medical Information, Allergies or Dietary Restrictions (write "none" if none) *
Your answer
As there are limited seats available for this camp, please write a couple of paragraphs to answer the following questions:
1: Why are you interested in participating in this Leadership Training camp? *
Your answer
2: How will you bring back to your community the knowledge and experience that you will learn from this camp? *
Your answer
Please Check the Boxes Below to Show your Understanding and Give Permission
Transportation *
Required
First Aid *
Required
General Liability *
Required
Leaving The Grounds *
Required
Insurance *
Required
Valuables *
Required
I give permission and full consent to IndigenEYEZ to use photographs and other media of my youth for presentations and promotion of their programs. I also understand that the documentation of camp activities is used to support grant applications for camp funding. *
Required
Participant's Consent to Basic Guidelines
Please make sure that the youth participant has read and understands the following agreements. The following non-negotiable guidelines have been established for participants of IndigenEYEZ gatherings in order to create a safe and respectful environment for everyone.

1. No leaving the program grounds without authorization

2. Check-in all valuables including money, electronic equipment, passports, etc. with the camp manager for safe keeping at registration

3. Refrain from using drugs or alcohol

4. No coupling/no sex

I agree *
Required
I understand that my typed electronic signature is valid in place of a written signature *
Required
Parent/Guardian Typed Signature (or Youth if 18) *
Your answer
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